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MOSES LAKE COMMUNITY HEALTH CENTER
NPI 1003395187
Clinic/Center - Federally Qualified Health Center (FQHC) in Moses Lake, WA

Active since August 09, 2018CLIA 50D1001462 · Waiver
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 764-0674(509) 764-0344 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moses Lake Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSES LAKE COMMUNITY HEALTH CENTER (NPI 1003395187) is a healthcare organization registered as a federally qualified health center (fqhc) in Moses Lake, Washington and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sheila Chilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003395187
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSES LAKE COMMUNITY HEALTH CENTER
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1893
Mailing Address605 S Coolidge StMoses Lake, WA 98837-1893 · (509) 764-0674 · Fax (509) 764-0344
Phone(509) 764-0674
Fax(509) 764-0344
Organization SubpartNo
Authorized OfficialSheila ChilsonCeo · (509) 766-8971
Enumeration DateAugust 9, 2018
✔ NPI 1003395187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WA · PHHC.FX.60660516
605 S COOLIDGE ST, Moses Lake, WA 98837
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1001462

Moses Lake Community Health Center Wic · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D1001462
Laboratory TypeAmbulance
Certificate Effective DateJuly 11, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPaige Kessler
Laboratory Phone(509) 766-9815
Laboratory LocationMoses Lake Community Health Center Wic605 S Coolidge St, Moses Lake, WA 98837
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. MICHEAL RYAN TOLLEY DO
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
TAMMY COUNTRYMAN LICSW
Social Worker (Clinical)
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moses Lake Community Health Center's NPI number?

The NPI number for Moses Lake Community Health Center is 1003395187. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Moses Lake Community Health Center located?

Moses Lake Community Health Center is located at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 764-0674.

What is Moses Lake Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Moses Lake Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1001462) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moses Lake Community Health Center was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.